National Immunization Schedule of Nepal (2024)

There should be at least 7 contacts of children (At birth, 6,10,14 weeks, 9, 12, 15 months) to health center to fully immunize as per national immunization programme of Nepal.

Previously, 11 antigens were provided through national immunization program. Recently, rotavirus vaccine and fIPV (fractional IPV) has been added.

Nepal is polio free since 2010 and has switched to bOPV (bivalent) from tOPV (trivalent) since April 17 2016 (Baisakh 5 2073).

S.N	Vaccine	Age of administration	Dose	Route of administration	Protect against
1.	BCG (Bacillus Calmette Guerin)	At birth	1	Intradermal	Tuberculosis
2.	Pentavalent Vaccine (Diphtheria, Pertussis, Tetanus, Hepatitis B and Hemophilus influenza B)	6, 10 and 14 weeks	3	Intramuscular	Diphtheria, pertussis,Tetanus, Hepatitis B and Haemophilus Influenza B
3.	OPV ( Oral Polio Vaccine)	6, 10 and 14 weeks	3	Oral	Polio
4.	PCV (Pneumococcal Conjugate Vaccine)	6, 10 weeks and 9 months	3	Intramuscular	Pneumococcal diseases (Meninges, ear and chest infections)
5.	Rotavirus vaccine	6, 10 weeks	2	Oral	Rota virus diarrhea
5.	fIPV (Fractional Injectable polio vaccine)	Child under 1 year (14 weeks and 9 months, 2 doses) Child under 5 years (Missed dose): 2 doses should be separated by 8 weeks	2	Intramuscular	Polio
6.	MR (Measles – Rubella)	9 and 15 months	2	Subcutaneous	Measles and Rubella
7.	JE (Japanese Encephalitis)	12 months	1	Subcutaneous	Japanese Encephalitis
8.	Typhoid vaccine	15 months	1	Intramuscular	Typhoid

Td (Tetanus diphtheria) for expecting mothers – 2 doses, 1 months apart.

Summary of Injection sites

BCG	Intradermal	Upper left arm
DTP	Intramuscular	Outer mid-thigh
OPV	Oral	Mouth
HepB	Intramuscular	Outer mid-thigh
Measles	Subcutaneous	Upper left arm
Yellow fever	Subcutaneous	Upper right arm
Tetanus toxoid	Intramuscular	Outer, upper arm
Hib	Intramuscular	Infants — Outer mid-thigh
		Older children — Upper arm
Japanese encephalitis	Subcutaneous	Upper arm
Meningococcal	Subcutaneous	Upper arm
Typhoid	Intramuscular	Outer-mid-thigh

WHO recommendations for interrupted or delayed (missed) routine immunizations as updated on April, 2019:
https://www.who.int/immunization/policy/Immunization_routine_table3.pdf

Posted

May 20, 2019

PGMEE, MRCS, USMLE, MBBS, MD/MS

Epomedicine

Tags:

Community medicine, Pediatrics

Comments

13 responses to “National Immunization Schedule of Nepal (2024)”

Anupama

Dec 16, 2019

The dose of rota vaccine and opv

Reply
1. Epomedicine
  
  Jun 16, 2020
  
  The dose of rotarix is 1 ml and that of OPV is 2 drops.
  
  Reply
Bipeen

Jun 16, 2020

Could you please tell me which PCV is given to Kid in Nepal Government Hospital.
Is it Prevenar 13 or Synflorix. I must know because I have taken two doses in Nepal. Now
I am in India, so they are asking me to confirm it.

Reply
1. Epomedicine
  
  Jun 16, 2020
  
  Prevenar is PCV-13 and Synflorix is PCV-10. The vaccine Nepali children receive, PCV-10, protects against 10 pneumococcal serotypes.
  
  Reply
  1. Bipeen
    
    Jun 19, 2020
    
    Thanks for your valuable information.
    
    Reply
  2. Bipeen
    
    Jun 19, 2020
    
    Hi Epomedicine,
    Thanks for you valuable information.
    My son has taken two doses of PCV from Nepal government hospital. Currently I am staying in Bangalore. As per Nepal Vaccination table, 3rd should should be taken in 9 months. According to Indian vaccination schedule, they are giving PCV booster in 15 months. Kindly suggest me when it would be better to take PCV-10 Booster (Synflorix) as 3rd PCV for my son. Now he is already 1 year old.
    
    Reply
    1. Epomedicine
      
      Jun 20, 2020
      
      The PCV immunization strategy of Nepal is 2P+1 dose, i.e. 2 primary dose at 6 wks and 10 wks and a booster dose at 9 months. This can vary according to the country. For a 2P+1 schedule with PCV-10, WHO has given following recommendations:
      
      1. 2 primary doses should ideally be completed by 6 months, starting as early as 6 weeks of age with a minimum interval of 8 weeks between doses.
      
      2. One booster dose should be given between 9-15 months of age. In this schedule, the booster does of pneumococcal vaccine may be given along with measles vaccine and Vitamin A supplementation.
      
      https://apps.who.int/iris/bitstream/handle/10665/90378/WHO_IVB_13.09_eng.pdf
      
      Studies found that use of a 2+1 PCV schedule with booster at age 9 months in a resource-poor setting improved antibody persistence through early childhood without compromising antibody responses in early infancy.
      
      Reply
      1. Bipeen
        
        Jun 23, 2020
        
        Thanks for you kind information.
2. Rubina Gurung
  
  Jun 22, 2020
  
  Thanks for valuable information ….❤
  
  Reply
Rachana

Jun 17, 2020

Is rotavirus vaccine use in Nepal ?

Reply
1. Epomedicine
  
  Jun 18, 2020
  
  Under the GAVI aid, more than 3,00,000 has entered Nepal. Government has planned to start its use after June 29 (Asar 15). About 6,20,000 infants will be immunized with the vaccine.
  
  Reply
Shishir

Jul 19, 2020

Are these vaccines given free of cost? If not, do the prices differ?

Reply
sagar

Jul 23, 2020

which rotavirus vaccine is currently used? Rotarix® or Rotateq®?

Reply

National Immunization Schedule of Nepal (2024)

Comments

13 responses to “National Immunization Schedule of Nepal (2024)”

Leave a Reply to Bipeen Cancel reply